Utilization Management
Facilitate payer-provider communication for smoother patient transitions
Utilization management is a critical component of the patient journey.
An inefficient process can result in longer lengths of stay, increased administrative denials, and a disconnect between hospitals, health plans and post-acute providers.
56
%
Decrease in denial rate by Bronx-Lebanon hospital
20
%
more completed authorizations
*Results experienced by some CarePort customers
Electronically share clinical information between providers and health plans to expedite authorization requests and better identify level of care determinations.
- Facilitate payer-provider communication to send post-acute authorization and custom forms electronically through an automated workflow
- Identify inpatient or observation stay patients automatically
- Triage clinically complex patients and easily identify non-outlier patients
Overall benefits:
- Streamline communication between health plans and providers
- Improve first submission success and minimize provider abrasion
- Reduce denials and appeals, and avoidable days
- Enhance clinical decision support
- Dedicate more time to patient care through decreased time spent on administrative tasks
- Lessen the burden of identifying patients that require manual intervention
CarePort’s Product Suite
Guide
Connect
Insight
Care Management
Transition
Referral Management
CarePort Guide
Guide patient decision-making during discharge and increase referrals to top-performing providers
CarePort Connect
Track and manage patients across the continuum to improve outcomes and spend
CarePort Insight
Assess outcomes using objective, real-time and automated reporting
CarePort Care Management
Power care transitions through a robust post-acute network and streamlined care management workflows
CarePort Transition
Create, manage and send post-acute referrals embedded directly within your EHR
CarePort Referral Management
Receive, respond and review all patient referral activity in a single electronic system
Request a Demo
See how CarePort’s solutions would work in your organization.
